Thrombolytic therapy and posterior circulation extracranial-intracranial bypass for acute basilar artery thrombosis. Case report.
Basilar artery thrombosis has a very poor prognosis. A 56-year-old comatose man with acute basilar artery occlusion was successfully treated with local urokinase infusion which reopened the basilar artery and revealed a midbasilar stenotic plaque. This procedure was followed by a superficial temporal artery to superior cerebellar artery anastomosis for protection of the posterior circulation.
Morgan
J K
JK
Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan 48202.
Sadasivan
B
B
Ausman
J I
JI
Mehta
B
B
D000208:Acute Disease; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010477:Perfusion; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator